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HomeMy WebLinkAbout0581 OLD POST ROAD (CT & MM) UNIT #B - Health 581 OLD POST ROAD, COTUIT A:054-017 t r. t t R UPC 12834 Q No.2-153LW I II TOWN OF BAR,N,STABLE LOCATION C/O( &?z SEWAGE # Z'1 1011 —7 VILLAGE !' ASSESSOR'S,MAP & LOT O o77 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY. LEACHING FACILITY: (type) /L/pf (size) NO. OF BEDROOMS" Muu'a S.Lk etr (.V\L WI Loci 04dV4 BUILDER OR O. R //11 PERMTTDATE:,. . `ZZ- G� COMPLIANCE DATE: D Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching,facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300T feet leaching facility) Feet Furnished by l U tit .5'eAA 3,6 ef cA, o TOWN OF BARNSTABLE �� LOCATION 'J9l O4-� POSE 2D , SEWAGE VILLAGE vTUC7' ASSESSOR'S MAP & LO-054 7 INSTALLER'S NAME&PHONE NO. eXA IrYe.6 3657' 9407 SEPTIC TANK CAPACITY L�D� GAL M LEACHING FACILITY: (type) ,P u ls�N€ (size) I r K 2c✓ Z NO. OF BEDROOMS BUILDER OR OWNER O 0*4 N. 6.1 L('04OR Y PERMTTDATE: COMPLIANCE DATE: oc r, Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) f Z Feet-� Furnished by` ", (f• 14 c• /07-Tim . Fle&i 7GtO o aRAs v— it 3 = 74 3 - G3 � s' r 34 Ile 5T- fPWIELC. ' I� Z I' � r 2 S (aj CK(,S EiZ) 3 �� �fZISE,2 I E� Cj2 s � i 4ZNo. ° Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2ppfitation for bisposar 6pstem Construction permit Application for a Permit to Construct( ) Repair(')G) Upgrade( Abandon( ') ❑Complete System ❑Individual Components Location Address or Lot No. 0 M� wntf's ame,Address,and T4 No. l Assessor's Map/Parcel �� l' /► �1��" Installer's Name,Address,an Tel.No. ' 5—,fI Desii T.'s Nam^e,A ddfess,and Tel o. W) 9_G[4-o " Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building �q�-p' .d�Q. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min. equired)r gpd Design flow provided gpd Plan Date / Number of sheets Revision Date Title Size of Septic Tank 5 lS-U Type of S.A.S. SyQ �`� 68, Description of Soil Nature of Repairs or Alt e ations(Answer when applicable) ] . iol . Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Tit 5 of the nvironm tal Code and n /q ,ce the system in operation until a Certificate of Compliance has been issued b s o ealth , D i 717 o ate "1' Application Approved by �� ate Application Disapproved by Date for the following reasons Permit No. r' -� Date Issued r NO., Fee THE COMMONWEALTH OF MASSACHUSETTS Entered incpmputer. \ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ltlYlcat101T for 1$�JD$aY:�p'tem Construction permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon(..) [:]Complete System ❑Individual Components. Location Address or Lot No. O wner's ame,Address,and No. A CofUJ`� M l . Assessor's Map/Parcel �L•— Installer's Name,Address,an Tel.No. cd!571 De si s Name, ddress,and Tel-No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder-.(.- Other Type ofB,`uilding No.of Persons- "Showers( ). Cafeteria( ) - ,Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Z / Number of sheets Revision Date Title Size of Septic Tank �j�-y Type of S.A.S. 560 Description of Soil 114-Nd A / c Nature of Repairs or Alt ations(Answer when applicable) +C_ Qom' Date last inspected: 3" Agreement: E � i The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisigTtlef the nvironm tal Code and no to lace the system in operation until a Certificate of Compliance has been issued ealt L p ate Application Approved by b ate (j/J Application Disapproved by Date > =_ for-the following reasons �J Permit No. , +^ Date Issued _ -_ - THE COMMONWEALTH OF MASSACHUSETTS E BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO C IFY,that th n-site Sewage Disposal system Constructed( ) Repaired(Ge)• Upgraded( ) Abandoned( )by at / r f has been constru ted in ace r e L, with the provisions of ff Title 5 and the for Disposal System Construction Permit No. d ted 2 ,, „ Q/ Installer - /� t�r (j Designer !� #bedrooms Approved design flo i t gpd The issuance of thispenPit shall not be construed as a guarantee that the system i 1 fu .S n as d gned. Date `] It 0 Inspector - _ No. Il Fee J THE COMMONWEALTH OF MASSACHUSETTS �— PUBLIC HEALTH DIVISION-BARNSTABLE'MASSACHUSETTS 33ispoS,al6p$te FDIC trUcttl errillt ' - Permission-is hereby g4anted to Construct RApair( U rade( a) ''' Abandon System located at i and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Co ru ioryixlys e comp et ithin three years of the date of this permit. / f Date !�J/' Approved by l � Town of Barnstable Regulatory Services Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer_&:Resigner Certification Form - 1 1--7 Assessor's Ma Parcel O � �,� Date:QL� '1,�t�Sewage Permit# P _Designer. V�L�� ,y.- „6CUR-1el.� o.��InstaNer: ^ ws�rz z0Tt o�:JJ Address: _T )2A2�022 Q_cAn 0-s-i -,2it"ddress: LAo On AFC was issued a permit to install a' (date) (installer) septic system at DL%--,> Pas T e D Cc i.-y based on a design drawn by (addres ) - - ,Ut—LI-V wAj•Gac_- dated A Pct (designer) I certify that the septic.system referenced above was installed substantially according to the design,which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the.septic system referenced above was installed with major changes (i.e.greater than 10' lateral relocation of the SAS or any vertical relocation of any componen of the septic system)but in accordance with State&Local - ' e latio. Plan revision or certified as-built.by designer to follow. _ alle s SULLIVAN No. 29733 (Designer's Signature) (Affix Designer's Stamp.Here) ItE`PETRN—TO4t4RNSTABLF_1PVB I AI XH.DrVISION`CERTIFICATE OF -- — COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.THANK YOU. Q:Health/Septic/Desiper Certification Form 3-26-04.doc GENE CONTRACTORS RESTORATIONS SHORING `O 's �42a s: HAYDEN BUILDING MOVERS,INC. ROBERT F.HAYDEN JR.,PRESIDENT VISIT US AT WWW.IASM.ORG Mailing Address: Shop Location: P.O.BOX 496 84 INDUSTRY RD. COTUIT,MA 02635 MARSTONS MILLS (Adjacent to Marstons M' Shop:508 428-6380•Fax:508-420-6229•Cell:508-364-638 No. O U Fee Uv THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSAC'HUSETTS Yes 0(pprication for Xhs;paal *pgtem Conotructiott permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑ Complete System 1 Individual Components i Location Address or Lot No. �y.� 0 Owner's Name,Address,and Tel.No. ?4,4-3"" Assessor's Map/Parcel Installer's Name,Address,and Tel.No. 'rn,u esigner's Name,Address and Tel.No. a 1 43a-5706 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date !1[$1b? Application Approved by _ Date . '�. 18'� Application Disapproved by: Date for the following reasons Permit No. ''do7" Date Issued N-i K-o 7 w�++ �.�ri�.,.- .I4'...�..w.$),;,. .f+'_"a'r ''y"."h::rY'a il7.l"�r....Yn....�..•.�..`� a$+*-...' �..t.�... -.r- -.w .. 1•-.� �i / '5. No. . O O Fee J Entered in computer: 'W THE COMMONWEALTH OF MASSACHUSETTS r Yes a PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIpprication for )Di.5poga1 �bpe;tem Construction Permit Application for a Permit to Construct O Repair O Upgrade O Abandon O ❑Complete System 'I!I Individual Components Location Address or Lot No. 5 O ( 0 94d, Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. 'rn Designer's Name,Address and Tel.No. a � l y3a-57c� Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures E Design Flow(min.required) gpd Design flow provided gpd i Plan Date Number of sheets Revision Date Title Size of Septic_Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) —u , -� Date last inspected: Agreement:'. The-undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance6has been issued by this Board of Health. Signed Date y f ye 16-7 j Application Approved by Date " hg V Application Disapproved by:. Date for the following reasons Permit No. 9 U DQ! I LIK Date Issued ' 1 K-o 7 ————.——————————————— —————— _ 1; ` THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,,that the On-site Sewage Disposal System Constructed ( ) Repaired (�) Upgraded ( ) x Abandoned( )by .Y�:rX�, (� q at G�(P7[ ��p9 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a 1�f dated Installer Designer #bedrooms �— Approved design flow , A gpd The issuance of this permit shall not be construedas a guarantee that the system will' unct/i jon as rd/esigned',l�'r ,�,�'� Date a A �I( � fInspector *��!'� �l�� �.�, �j✓ r���! / !I ",F/,{r J /, v r ---------�—' / ------ _—�./------------ Nor .a O U 7— It-IV Fee /�THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 'Wi5po5al *p�tem Construction Permit Permission is hereby granted to Construct ( ) Repair (�) Upgrade ( ) Abandon ( ) System located at ��1 aQoQ ' ow Ly�:� and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date t I—( � J 7 Approved by r :y No.—. �?!h ,� fj Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zfppricatton for Mtopooal br5tem Con5tructton Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 5-81 0 L D f U 157' R.D Owner's Name,Address and Tel.No. Cow,17- 3oHN 1-I . C ALL_01A.) 1� Assessor's Ma /Parcel 14 !f4 c a ZZG Map/Parcel 17 3 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. jq. C, M 1--2'07f2E w ELlt72 cy /9�SoG !L93 aRit", MR-0-4 2P YdfR"BU f v/2 A AJ#9 o (5ZC75' 9�07 Type of Building: Dwelling No.of Bedrooms 3 Lot Size Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 gallons per day. Calculated daily flow 353 .t O gallons. Plan Date P tfFY to LLdoo Number of sheets / Revision Date Title S fTe 50-j 46'E 09C'I" 7�:%4 5X�/ 7- IZ.D Size of Septic Tank 1570 o Type of S.A.S. Der Zk) Description of Soil 5-4 E PLAAJ Nature of Repairs or Alterations(Answer when applicable) o uj6 E}ClS T_ e��r�ooL & l Soo' (SA L-- 5.T D r-9 . Z r>4Y&1-)eZLe 5 Cc?Z q`' S 775•v E Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of ealth. Signed , —Date-6 —/Z —o 0 Application Approved by Date /_/x-0r� Application Disapproved for We fol ing reasons Permit No. Lt Date Issued No. Fee J _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. Yes _ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS r /Zipprication for Oizpaal 6pgtent Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. S�~�7�� 1� T 9P' Owner's Nay AddGress�r�dLely 10 5 -��—^ i T QvyN -� l4 Mi4/2wooD t� r7fE Zz q _ Assessor's Map/Pa%1 P r�.-,� /�/4/2 'J S `�N r 91 4' 7 Installer's Nace�4 ess and Tel.No. Designer's Name, AU Add ess and Tel.No. /Lj• C. �.( �u�y'/zE Gv EC1t� �i9 Ra f ou"?d/'oRT ,�t G z G 7 S 3es-94 r Type of Building: Dwelling No.of Bedrooms 3 Lot Size ` c' Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow �^ 3 gallons per day. Calculated daily flow 3 S 3 ' G gallons. Plan Date Y /U 1 moo Number of sheets Revision Date Title 5/T� St2 AGE F__ 9 ✓mil GZP f oS7 F-2> . Size of Septic Tank /��'o Type of S.A.S. Ju Description of Soil 3 .. Nature of Repairs or Alterations(Answer when applicable) KoV //u ST-A'LL 't /5c76 G/} G-, S.?. { D r$ . Z A4Y4J eLLS w y � 5 7Z,.v E Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by ibis Board of T Signed M. (2• Date G -17- - o Application Approved by Date G Application Disapproved for t e following reasons Permit No. 1p " 3 tfT_ Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CETY, at the Ont spo al System Constructed( )Repaired(>/)Upgraded( ) Abandoned( )by ((�- C at JT t 1 (� jAk has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.;!- 3 Y q dated d� Installer Designer" A- � The issuance of this ermit s iot.be construed as a guarantee that the�sysieln- 1ll fugetio as desalignDate �' Inspector ✓'� i No. �G''dC7— 3 ` � --------------------------Fee 0 ( THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS lwtgpogal *pgtem Congtruction Permit Permission is hereby gragted to Construct( )Repair( Up rade( )Abandon( ) System located at 1 Of c2 cs4z and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of thi , err rut.. Date: a" OO Approved by 7 Commonwealth of Massac�nus R97_3" F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary y assessments , t7IV �J Property Address Owner -- -z Ow is Name -- -- - — - information is required forevery page. City/Town ------- ...------ -.....-- -- Stale Zip Code Date of Inspection G O Paz U Q- aQ1-, 1614 5 G�cP Inspection results must be submitted on this form. Inspection forms may not ` e in any way. Irnportant: A. General Information When filling out aR 2�� forms on the computer, use 1. Inspector: only the tab key to move your cursor-do not use the return Name`of Inspector key. Af Company Name ---- ------- ---- VV td 1 1 W nj Company Address — -- rLl nlwU'Aa trt M O X6 7 5 City own ( State Zip Code LIof 4 of { Telephone Number License Number B. Certification I I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. T_he inspection was performed based on my training and experience in the proper function and maintenanceof on.site sewage disposal systems. I am a DEP approved system inspector pursuant to'-'Section 1-5,340.of Title 5 (310 CMR 15.000). The system: ❑ Passes [(Conditionally Passes ❑ Fails I '? ❑ Needs Further Evaluation by the Local Approving Authority M Inspector's Signature U Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. l5insp.doc•08/06 • Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts - -" Title 5 Official Inspection Form = Subsurface Sewage Disposal System Form - Not for Voluntary Assessments y its -5 5 81 Property address ____--- - -------...---_------_ r � r -- - .. Owner -- - __ -...__..-._.. .- _ . ..._. _ .. .-- ---..... w is Name irt(or°nation is required for every page. City/Town r- Stale Zip Code D3 1of31nsOction G j c-�� J 6 y 511'Yb, , c a 63 D- Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Inspection Summary: Check A,B,C,D or E / always complete all of Section D A) System asses:. ❑ 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: [ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: - L/ ❑ Observati&A of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed 15insp.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal Syslern•Page 2 of 15 Commonwealth of Massachusetts - _ Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary t y assessments -5 �- Pro g -- ._ . _ _ - .... perty Address ......--- _....-_-- Owner — --- — - - ------ ---- y-..-----information is ---- for s Name _ l required for _ C`Q? — � 3 13 I c) every page. City/Town r— State Zip Code Dale of Inspection G 0 (�c.Q c,�S�Q>2�, J y 5 6Z^9 , Yfla 0963 a Inspection results must be submitted on this form. Inspection forms may not be altered-in any way. B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ 'Cesspool`or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any)' determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. t5insp.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Fonn - Not for Voluntary Assessments .cam -5 Properly Address Ow ter -- - - - -- --- --- i ! ' r i is Name information is required for 1��.. 31 3 �C) _.. - ..--- ----- every page. ity/Town �-- Slate Zip Code Date of Inspection G O -Q cif�QIZ� !�,y 5 909 Y • oa63 a Inspection results must be submitted on this form. Inspection forms may not be altered in any way. o. l+CruIlUdUUn kcont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ d Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ r Discharge or ponding of effluent to the surface of the ground or surface waters IJ due to an overloaded or clogged SAS or cesspool ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ OlA ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow ❑ d Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ d Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ NJA❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. t5inep.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts .;ter . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Volun Y t_ry Assessments -----C-90 _Pc _ .1... --Properly Address Owner information is --- - O i is Name -- �11 " l required for _(} ' " ------ yy1CL - 3I 3 IC) every page. City/Town r- Slate Zip Code Date of Inspection , J CO is_k,,� 61c9 f Y�'bt . oa 63 a Inspection results must be submitted on this form. Inspection forms may not be altered.in any way. W. vciuii1.auv1i <<;Ulit.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ [� Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ❑ Any portion of a cesspool or privy is within 50 feet of a private water supply well. - ❑ tl ❑ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 pprn, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ;t ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure: E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following; in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ El the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CM 15.304. The system owner should contact the appropriate regional office of the Department. l5insp.doc-08106 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 - < Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments -` y is - - -- --- ---- -.._...---Property Address --- ---------- ------- Owner -- - - — -- - - --- - r's Name info-rnation is `_�-• .�. ' required for QJC - _ — every page. Ity/Town -- State Zip Code Date of Inspection G p ( k1QI uj-Q- s 16 y 5 j P Yob, . oa 63 a Inspection results must be submitted on this form. Inspection forms may not be altered in any way. v. v�rca,ni�a� Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ❑ d Pumping information was provided by the owner, occupant, or Board of Health ❑ LEI Were any of the system components pumped out in the previous two weeks? ❑ [� Has the system received normal flows in the previous two week period? ❑ d Have large volumes of water been introduced to the system recently or as part of this inspection? d ❑ Were as built plans of the system obtained and examined? (If they were not / available note as N/A) [VJ ❑ Was the facility or dwelling inspected for signs of sewage back up? d ❑ Was the site inspected for signs of break out? u ❑ Were all system components, excluding the SAS, located on site? ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ d Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: u ❑ Existing information. For example, a plan atthe Board of Health. ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [31.0 CMR 15.302(5)] 15insp.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Forrn - Not for Voluntary Y o untary assessments Property Address Owner - __..- ..... ..-... . . _.._.. Ow 's Name -------------- information isfi�,.�— required for y�/�(} ""-""---- -- �'.ICC.. 3I 3 �C)- - every page. CityfTown �- State Zip Code Date of Inspection G I O Paz cal- _Q� 16 y 5 acP t YY , oa 63 a Inspection results must be submitted on this form.Inspection forms may not be altered in any way. V. vy.7�r+111 IIIIVI IIIQUl111 Residential Flow Conditions: Number of bedrooms — -- N — (design)- umber of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): -3-30 Number of current residents: Does residence have a garbage grinder? ❑ Yes V No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ .Yes [ No Laundry system inspected? ❑ Yes ❑ No Seasonal use.? d Yes ❑ No e��p Water meter readings, if available (last 2 years usage (gpd)): 45 Sump pump? '.` ❑ Yes [>/� No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: r Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank.present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: , Last date of occupancy/user pate ----- — Other(describe): t5insp.doc•Ofi/O6 - Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Y y Assessments Property Address Owner O--- Warm — --- . wr 's ame information is re ui.-ed for —_ -- 31310- every page. City/Town State Zip Code Date of Inspection G ( �, uj-Q - 1614 5 acP YY�, oa 63 a Inspection results must be submitted on this form. Inspection forms may not be altered in any way. u. aysiem In-rormailon (cont.) General Information Pumping Records: Source of information: -- ---_ __ Was system pumped as part of the inspection? ❑ Yes 0 No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: UV Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information.- Were sewage odors detected when arriving at the site? ❑ Yes [Y"No ISinsp.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal Syslern•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form = Subsurface Sewage Disposal System Forrn - Not for Voluntary Y o untary assessments Property Address ---- - - q a Owner --wis Name- - --- -- - _ _ O - - ---- -- _ information is required for _ — - —=— every page. ityrrown State Zip Code Date of Inspection G 10 UJ-Q-� 16 y 5 G209 , Yet, oa 6 3 a Inspection results must be submitted on this form. Inspection forms may not be altered in any way. U. Jystem Inrorl7latlon (Cont.) Building Sewer(locate on site plan): Depth below grade: feet — Material of construction: ❑ cast iron ❑ 40 PVC ❑ other(explain); Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: feet Material of construction: ldconcrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No --------------------------------------------------------------------------------------------------------------------------- Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Cl - Y Scum thickness Distance from top of scum to top of outlet tee or baffle — - Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? _ 15insp.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts - STitle 5 Official Inspection Form Subsurface Sewage Disposal System! Form - Not for VoluntarY Assessments — ! _ - Property Address Owfle --errs - Oame infonTtation is _ ll required for — -------- ——- -- 3 13 I C)- ever ___.._.._....... _ Y page. City/Town ---__._._...--- r- State Zip Code Date of Inspection G 1 (�c-Q�, � � ! y s 9& 11'�bt. oa63 a Inspection results must be submitted on this form. Inspection forms may not be altered in any way. u. system intormatlon (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as.related to outlet invert, evidence of leakage, etc.): ,,,_(���-ula.� a.A► �'1A.srotivvl,�1►�> Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle - Distance from bottom of scum to bottom of outlet tee or baffle - Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): l5insp.doc•08106 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form = Subsurface Sewage Disposal System Form - Not for VOIUn Y Lary Assessments Property dress p Owner -- — _._ Own s Name ----- ---- ----------- information is1,.` l required for _(' ''^'_"`-- --- MCC 3I 3 10 7 every page. d St y/Town ate Zip Code Date of Inspection G 0 UJXL� 16yS G,eP , 1� , oa63a Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Li. Jystem inyof oration (cunt.) Tight or Holding Tank (cont.) c Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.):. *Attach copy of current pumping contract(required)..Is copy attached? ❑ -Yes ❑ No Distribution Box (if present must be opened) (locate on site plan); Depth of liquid level above outlet invert Comments (note if box is level and distribution to outiets,equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order; ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No t5insp.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 1, Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for VOlUntar Assessme nts eats Property Address Owner _ _....-. ... - O 5 wr s Name ------- ---- - --- ----------- information is required for -. every page. City/Town State Zip Code Date of Inspection IO -�, �- � 16y5 9 C am,n� . oa63a Inspection results must be submitted on this form.Inspection forms may not be altered in any u system intormation (Cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: — ❑ leaching chambers number: ❑ leaching galleries number: [� �� leaching trenches -number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: - ❑ innovative/alternative system Type/name of technology: -- - Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): t5insp.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts - Title 5 Official Inspection Form _ =S Subsurface Sewage Disposal System Form - Not for VOluntary A ssessments Property ddress _,. _. .: ._ Owner - O is Name - __. - - - --- information is • .r . required for MCC- 3 3 07 - --- every page. ily/Town �•-• Slate Zip Code Date of Inspec�ion G 0 16 LI 5 GAP , 1'�'bt. oa63 a. Inspection results must be submitted on this form. Inspection forms may not be altered in any way.. -System tntormatlon (cost.) . Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert — Depth of solids layer. Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow 0 Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): l5insp.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form ' = Subsurface Sewage Disposal System Fonn - Not for Voluntar Assessments— ` y Properly Address Owner Owl is Name infonrtalion is l required for MCC CC' 3I 3 I C)� every page. City/Town Stale Zip Code Date of Inspection -�Q f�v� J y 5 62 63 a Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Li. oy5iem iniof mailon (cunt.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 0.r 4a 8 3 - 74� y - $b I 4- l • a4 a . T) 5 IWy, 3 lif 4 O 5 Q t5insp.doc-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 15 IL f Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface S i Sewage Disposal System Form Not for Vol n Y � Mary assessments ___ __ Property Address _ -------- ---- Owner — - - - -- ---- - . . _ _....: ._ --- ----_... - -Own 's Name -- . - - --- information is required for ------ - ........ __ 'lct _ - ---- 31310. every page. City/Town r— State Zip Code Date o/Inspection G l o t�M U-Q- 16 y 5 pcQ I Y x oa 63 a Inspection results must be submitted on this form. Inspection forms may not be altered in any way. D. System Information (cont.) Site Exam: Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells 33�" _ I, Estimated depth to ground water: feet — Please indicate all methods used to determine the high ground water elevation: ►� Obtained from system design plans on record If checked, date of-design plan reviewed 5110100 + 1 I D/00 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database.-explain: You'must ust describe how you established the high ground water elevation: 15insp.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 I TOWN OF BARNSTABLEV LOCATION fg/ Gc-P PCI-5 i 2 D SEWAGE #ZOca d -54-f VILLAGE Ct v-7V -T ASSESSOR'S MAP& LO-e 4� �s:. INSTALLER'S NAME&PHONE NO.l4'1 C� �'I eTJ-rr ?-C 3 vS- 94-07 SEPTIC TANK CAPACITY _15-00 C-AL i LEACHING FACILITY: (type) l���L�F=[ C_s Z� (size).13 ZS 'y< NO. OF BEDROOMS .3 BUILDER OR OWNER .00H 4 I-1. 6�9C LuGvf}Y T PERMIT DATE: -l Z- dG COMPLIANCE DATE: ' /✓ - cc, Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility. Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) /Z© Feet-f i Furnished by -7v o f� c3AJlC 30 r 3 - 74 3 - G3 ' 3 5 64 0 9 d rp � l� r-- 5(13T- Pl�E4L 17JI • f 13 CKI>EP-) 3 I own Ul .Biil'11Still)lt' 1'11 V Department of Ileallh,Safely,and rnvil-onluell(al Services °fn '�'`'� ` PlIblie Health Division Dale 367 Will Street,I lymtuis MA 02601 Xv(�� \ nAtMOTAnI$ MA99 �plfDtl��` Dale Scheduled � � ,�'� 'time I�• �� Fee I'll.. ,Soil Suitabilitp Assessment fin, Sewage Disposal y: 1Viulcssld Ilya. 12 G o /•t� e v LOCA... ON & ,I-iNiKiw, mvoftIVIATION Localioo Address ° Owner's Name T Address _ Assessor's Map/Parcel: S( / I 7 1 ?ngincr'cs Nmncw cSG[tr�L ,ter�t 75:5a<- NEW CONSTRUCTION REPAIR Y/ Telephottell 72 3s- Land Ilse -���/� .�/�.�z� Slopes(4b) Z Surface Stones Dislances from: Opco Witter Dody 111411 Possible\Vcl Arca R thinking Water Well ft Wily Drainage 6' Y /J IT Properly Line 36 II Other R SKE"Tcl I: (Street name,dimensions of lot,cxilcl locations litIesl hales&pere tests,locale wetlands in proximity to holes) � l 1 1 4 Parent material(geologic O�uJ f { Depth to Iledrock .� Depth to Groundwater. Standing\Valcr in I lulc: -�tJci„rJ-G'� Weeping from I'll i-nce Iislimalcd Seasonal I ligh Groundwater p'I'I'rRMINATION FOR.SljASONAL III0II:)'VA`I'I�IZ.1'A13LI� hlclhod Dsed: Depth Observed shading in obs.hole: in. Deptll to soil mottles: Depill to weeping front side of obs.hole: In. Grotmdwnler Adjoslmenl IL Index Well It _ ItendhtR Dille: _ _ index Well level __ Ad.l.factor.,__ Adl.Oroundwaler Level I'CI(COL�A'I'ION'I'LS'I' '=<ii�ile ' e c)•rlrne v Ohserviftion I Jule a Time al 9" 4 Depth of Pcrc Time nl 6" Stitt Prc-soak Tinlc a /` r 6 Thnc(9"-6") Gad Pre-soak ZZ O r Ratc Min./Inch 'Z1"f Site Suitability Asscssmcol: Site Passed Site I:nilcd: Additional Tesliog Needed(YIN) Originnl: Public Health Division Observation Ilole Drlln To Ile Completed on 131cic j r Copy: Appiicilnt 1)h,ET OOS(;(tVW('(ON 40LL LOG I(ole 11 Depth lionr Soil ilorizorr Soil 1'cxlurc Sail Color soil Other SlitIacc(in.) (USDA) (t`lunscll) t`lollliog (Slnrclurc,Sloocs,noulderes. DI;I;I' OJJSR,R�1A'I'ION IIOILIn LOG Hole 11 Dcpllt hoar Soil I101i7,011 sail•fextole Sail Color Soil Mier Sorfltce(in.) (I ISDA) (NIunscll) Mottling (Slruclorc,Stones,Ilooldcres. -- — — S.oublcncy,;o(;love!) DECUT OIISRAOIA'I'lON IIOL,L LOG Ilolc 1t Dcpthtiont soil I lot izrm Soillcxturc soil Color soil Utlrcr Sorrace(in.) (USDA) (Moosell) Mollling (StIlICllrle,Stones,ILnrldcres. M."UPT. OUSLItVATION 1I01,8 LOG IIc)Ic ll Depth host soil I lorizon Soil Texlore • sail Color soil C)Ihcr Surrice(in.) (USDA) Holding (ShucUtrc,Shores,Ilooldcres. Juts i9DIKY-1isifH.YgD I I , i�loo(I lnsut•slilcc IZn1_e�1�1�• Above 500 year Ilond Irotindnry No _ Yes ,IS Wilhtn 500 year buundliry No Yes Wilhio 100 year Ilood botmdary No_ Yes Depth LULIlut':>II ccuLLing Tguilms_[_Yhlcri;�l Does at lead (bur feet of nahurally occurring pervious nullerial exist ill all areas observed Ihroughoul Ihc area proposed for Ihc soil absorption system'? — If not, what is Ihc,depth of nalurally occurring pervious nrllerial? • �cl_tscalit�tt — I celllfy Illm on L4 (date) I have passed the soil evaluator exanunntioll approved by the Department of l;nvironntenlal I'roleclion and dial the above analysis was perfornle(I by nle consislcnl with the required (reining, expertise an(I experience described in 310 CM I( I5.017. Signature Date—� 06 6/09/�o r btd ,�sat ��{,� � } ,n t k, Schematic Desi,}gn Bid Drawings April 95 2010 LAW GUE ',, ST HOUSE Post Ro ad - , iMassachusetts 581 Old oad Cotu t , DRAWING LIST CS-Cover Sheet SI-Site Plan A-1.1 -First and Second Floor Plans A-1.2-Basement Level Plan' A-2.1 -Elevations A-2.2-Elevations A-5.1 -Second Floor Bath Plan and Elevations E-1.1 -First and Second Floor Electrical Plans E-1.2-Basement Level Electrical Plan S1-00-Structural S1-01 -Structural y f, 1 II 1 Judge.Skelton.Smith (: Architects 16,Joy S6 .H—-Ma h—.02114-617.227.9862 LAW GUEST HOUSE Cover Sheet 581 Old Past Road . - 04.09.2010 CS DRAWINGS IN THIS SET ARE NOT TO BE USED FOR CONSTRUCTION AND ARE FOR INFORMATION ONLY 1 !� rr � 1 i CRAWL SPACE { I 1 CRAWL SPACB ' i 1 BASEMENT LEVEL PLAN 4 NOTES: .. -ALL DIMENSIONS TO BE FIELD VERIFIED -ALL BASEMENT WINDOW OPENINGS TO BE CENTERED - - BELOW WINDOWS ON GROUND LEVEL Judge.Skelton.Smith -NO BASEMENT WINDOWS ARE TO BE LOCATED Architects ON FRONT FACADE OF HOUSE 16,by Saco-Baam-Manch—-02114-617.227.9062 LAW GUEST HOUSE Basement Level 631 oM Pau Bona Plan i. CaNi4 Mauchurem 04.09.2010 A-1.2 s NEW STONE OR THE FIAOR TO BE DETERMam RY DrCORATOR SUN PORCH - I NEW SAT%ROON9 TO tle CONS'1%UCI{R4 JJJ FIXTURES ANDFATSHFS TO BE DCTUDAINFD BY CONTRACTOR NEp 910NEDRIRRAT OBe - OEIPN.W I!D DY Ofi OCC W PATOR ' --------------------------------- BEDROOM 2 BEDROOM 3 BREAKFAST ROOM Q BA m7 la DINING ROOM LIVING ROOM I , os { ioT ATH 2 O t BEDROOM 1 DOM CLOSET KITCHEN . •� BUTLERS PANTRY .,..-- HALL —I� � LW CLOSE I I I - HALL I la CLOSET CLOSET CLOSET CLO6LT ❑❑ ❑ PWDR } BATH 1 ------ ----------------- TOWOFA RaoMmRTCFrvENFw 101 FI%NRES ANDFINISIIFS IO BE ENTRY t ❑ FIXTURES IORPLPIVENEW LAUNDRY DETER111NFDBYDDLO TM la CLOSET TIRItRIS AND ilNn1IES I I HALL Lao 'it EH] BREEZEWAY aiR�Er �% i BREEZEWAY --------------------- 3 1 FIRST FLOOR PLAN ft 1 SECOND FLOOR PLAN GENERAL NOTES: -ALL DIMENSIONS TO BE FIELD VERIFIED -ALL EXTERIOR WOOD TRIM,WINDOWS AND SHUTTERS TO { - RECEIVE PRIMER AND TWO COATS OF FINISH PAINT -ANY DISCREPANCIES BETWEEN DRAWINGS AND EXISTING CONDITIONS SHOULD BE t - REPORTED TO J.S.S. -ALL WINDOWS TO RECEIVE NEW OPERABLE CUSTOM WOOD SHUTTERS -EXISTING INTERIOR FINISHES ARE TO REMAIN AND BE PATCHED AS NECESSARY -ALL WOODWORK,DOORS,ETC.TO MATCH EXISTING IN EVERY RESPECT -ALL PLUMBING AND FIXTURES TO BE REPLACED-ALL SOIL PIPES TO BE CAST IRON -ROOF TO BE REPLACED WITH NEW WOOD SINGLES AND ALL FLASHING TO BE LEAD ALL SUPPLY LINES TO BE COPPER. COATED COPPER Judge.Skelton.Smith -NEW HEATING SYSTEM TO BE INSTALLED-SYSTEM TYPE T.B.D. -ALL DETERIORATED WOOD TRIM TO BE REPLACED AS NEEDED - Architects - - 16,Joy Stl -Bw -Mas who .02114-617.227.9W -ADEQUATE CODE COMPLIANT ELECTRICAL SERVICE TO BE PROVIDED -EXTERIOR OF HOUSE TO BE RE-SHINGLED LAW GUEST HOUSE First and Second Floor -ALL EXISTING ELECTRICAL TO BE REPLACED -ALL CHIMNEYS/FIREPLACES TO BE CHECKED AND MADE OPERABLE sel Old P-Rd Plans _ c_i4 M.—h- -WALLS,ATTIC AND BASEMENT TO BE INSULATED AS NEEDED 04.09.2010 A-1.1 1a. fjo ; Old P -- a I . T 6 -_J -------------------- !. Existing 3 Garage ' 0 --- ---------- «. •c r i t \ Proposed J Drive 3 • t • l •� * I I 'Proposed Dwell y Per-'Plan B g L'oc tion ers T.O.t'` 1 50 F.F. l0 Oth 6 Of l I Seo S Permit N '2006-344 �y o / r ' Existing Dwelling a . To Be Relocated - t. T.O.F. 103.721 104.72 ! -` T.B.M. — Nail th,,Tree (Approx. Location) - El. 102.35 �,- - - ------------ Top Of Coastal Bank C Per DA-10002 F1 OF M 1 Existing Shed J04'�J �GJ, C 0 -+ _------ c� I� cn —— -- --------------------- ------ GISTER� NAL EN Cotuit Bay TITLE: PRb'ARM BY PREPARED PoR: -` - ROTES: - Site Plan 1.) The intent of this plan is for the permitting Proposed Septic Connection Sullivan Engineering,Inc. Old Post Road, LLC of a septic connection only. At PO Box 658 581 Old Post Road ) property topographic, g T osterw1e, MA 02655 2. Forline, and dwellin 581 Old Post Road. Cotuit, MA 02653 S relocbtion information see plan by others. Barnstable, ( ) Mass. 4 3.) The datum used is assumed. comrt ors �o' o,` zo �o DALE SCALE Review. i !Ps April 22, 2010 1" = 40' Pr,'OLct . setae . I 4 d post 01V - ----- ---- ------------- Existing Garage .. Q ---- ------ { a------------ + •c � W f Proposed Drive t y r - ` Proposed pl well g L'oc tioh an B Ofh'ers -_� FF 106 pfj _. b? Exstiny- ptic S Permit No. 2000-344 9 Ff /' Existing Dwelling To Be Relocated TO_ 103.721 i 104.72su`� T.B.M. - Nail in,Tree j 1 (Approx. Locatiol) ' ---- 1 El. 102.35 ` _. - __ t i Top Of Coastal Bank Per DA-10002 OF M488 Existing 1 pyG� Beach o� Jo C. m Shed 0 -- cn ------------------------ G/S T------------- FSS/ONAL ENS\ Cotuit Bay - 71TLE: - PREPARED BY PREPARED FUR: NOTES. - Site Plan 1.) The intent of this plan is for the permitting Proposed Septic Connection Sullivan Engineering,Inc. Old Post Road, LLC of aseptic connection only. At asrePO Box MA oz655 581 Old Post Road 2.) For property line, topographic, and dwelling 581 Old Post Road fs�„28-.n,ts�N28-""'- Cotuit, MA 02653 relocdtion information see plan by others. v Barnstable, (.tort) Mass. 3.J The datum used is assumed. Dore roD ,� o zo w DATE• SCALE PS Review- I ! April. 22, 2010 1" = 40' Prc r . sslaa .